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Patient-derived Orthotopic Xenograft Models for Cancer of Unknown Primary Precisely Distinguish Chemotherapy, and Tumor-targeting A1-R is Superior to First-line Chemotherapy

Abstract

Cancer of unknown primary (CUP) is a recalcitrant disease with poor prognosis because it lacks standard first-line therapy. CUP consists of diverse malignancy groups, making personalized precision therapy essential. The present study aimed to identify an effective therapy for a CUP patient using a patient-derived orthotopic xenograft (PDOX) model. This paper reports the usefulness of the PDOX model to precisely identify effective and ineffective chemotherapy and to compare the efficacy of A1-R with first-line chemotherapy using the CUP PDOX model. The present study is the first to use a CUP PDOX model, which was able to precisely distinguish the chemotherapeutic course. We found that a carboplatinum (CAR)-based regimen was effective for this CUP patient. We also demonstrated that A1-R was more effective against the CUP tumor than first-line chemotherapy. Our results indicate that A1-R has clinical potential for CUP, a resistant disease that requires effective therapy.

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